IndividualActive
Jake Dittrich, PHARMACY INTERN
NPI 1295262830 · Student in an Organized Health Care Education/Training Program · Corvallis, OR
Provider details
- NPI number
- 1295262830
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Credential
- PHARMACY INTERN
- Sex
- Male
- Sole proprietor
- No
- License
- PI-0012676 (OR)
Specialties & taxonomies
- Student in an Organized Health Care Education/Training ProgramPrimary390200000XLicense PI-0012676 (OR)
Student, Health Care
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
530 Nw 27th St
Corvallis, OR 97330-5223
Phone: (541) 766-6835
Street-level locationGet directions
Mailing address
530 Nw 27th St
Corvallis, OR 97330-5223
Registry dates
- Enumerated
- 2017-05-14
- Last updated
- 2017-05-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.